Volume of Irrigation Does Not Affect Rate of Abscess in Perforated Appendicitis

Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - Category: Surgery Authors: Source Type: research

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Publication date: Available online 9 October 2019Source: Journal of Visceral SurgeryAuthor(s): M. Delestre, J. Barbieux, A. Paisant
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
Conclusions: There are several clinical protocols with different antibiotics. However, there is no standardization concerning the type of antibiotic drug, time of use, or route.RESUMO Objetivo: Analisar o uso de antibi óticos em crianças e adolescentes no perioperatório de apendicectomia. Fonte de dados: Realizou-se uma revisão integrativa, nas bases de dados MEDLINE, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Cochrane e no portal PubMed, sem limite de tempo. As palavras-chave utilizadas foram: apendicite, criança, adolescente e antibacterianos co...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
The objective of this study is to present an anatomical defect of duodenal atresia using a rabbit model and evaluate the preliminary experience for the training of surgical skills with pediatric surgeons. Adult white New Zealand male rabbits weighing 3.0 to 4.5 kg were used to create the defect. To simulate the bottom of the dilated blind pouch, the gastric antrum of the rabbit was obliterated using a 2-0 Prolene suture, and the cecal appendix was dissected to simulate the continuation of the duodenum. Participants performed laparoscopic duodenal atresia repair in this animal model using the iPhone trainer. Thirteen pediat...
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
CONCLUSIONS: Patients with nonperforated gangrenous appendicitis are at higher risk of infectious complications than patients with phlegmonous appendicitis, yet gangrenous disease is not an independent risk factor. Postoperative antibiotic use over 24 hours was not associated with decreased infectious complications. See Video Abstract at http://links.lww.com/DCR/A1000. RESULTADOS POSTOPERATORIOS DE PACIENTES CON APENDICITIS GANGRENOSA NO PERFORADA: UN ANÁLISIS DE COHORTE PROSPECTIVO MULTICÉNTRICO NACIONAL: ANTECEDENTES: Existe controversia sobre el uso de antibióticos postoperatorios para la apen...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research
Conclusions: This series presents our laparoscopic technique for continent urinary diversions, showing that it is feasible and safe in adult patients with neurogenic bladder.
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research
Condition:   Acute Appendicitis Intervention:   Procedure: Observation Sponsor:   Vilnius University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Answer to Parasite Case of the Week 563: Anisakid larva, notAnisakisspecies.As noted by Marc Couturier, this case has a " very nice and clearly defined intestinal caecum [or'cecum'for my United States readers]. Lips are visible on the worm and the general size would point again to an Anisakidae member. Coughing up and the abdominal pain are helpful clinical correlates as well. " Blaine also added some helpful information regarding the diagnostic features of anisakids: " Based on the anteriorly-directed cecum, this is eitherPseudoterranovaorContracaecum. Unfortunately it is not possible to definitively tell f...
Source: Creepy Dreadful Wonderful Parasites - Category: Parasitology Source Type: blogs
Publication date: November 2019Source: European Journal of Surgical Oncology, Volume 45, Issue 11Author(s): John Carlo Pansaon Piedad, Adarsh Shah, Edmund Leung
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
ConclusionsStump appendicitis may occur following both open and laparoscopic approach, when the residual stump is  >  0.5 cm. Its clinical significance lies in the delayed diagnosis, leading to higher incidence of complications and the need for more extensive surgery.
Source: World Journal of Surgery - Category: Surgery Source Type: research
Appendicitis usually manifests as either uncomplicated or complicated disease. Uncomplicated appendicitis is generally treated with an appendectomy without further antibiotic therapy. In contrast, complicated appendicitis can be treated in a myriad of ways. Nonoperative treatment has been proven to be effective but has variable failure rates. Operative management typically involves resection with postoperative antibiotics. The duration of antibiotic therapy is a topic of interest. Past studies have shown that a shorter duration of antibiotics (3 –5 days) are equally as effective in treating intra-abdominal contamination.
Source: Surgery - Category: Surgery Authors: Source Type: research
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